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t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
d and understood the warning on page one of the instructions to the application form. Applicant's Legal Signature FOR ISSUING OFFICE ONLY O PPT BK CORO PPT BK SM O PPT CD CM O PPT CD Sal 0 Marriage Certificate Date of MarriagelPlace Issued: o Court Order Date Filedtoun: From To' O Other 0 Atta
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
nd understood the warning on page one of the instructions to the application form. X AprAlcant's Legal Signature FOR ISSUING OFFICE ONLY K PPT BK CORO PPT BK SIR K PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Court Order Date Filedtoun: From To' 0 Other. K
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
d and understood the warning on page one of the instructions to the application form. Applicant% Legal Signature FOR ISSUING OFFICE ONLY El PPT BK CORO PPT BK SIR 0 PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Cowl Order Date Filedtoun: From Toe 0 Other O
Entities connected to both the Federal Claims Collection Standards and CORO PPT BK
National Passport Processing Center
ORGANIZATION
Philadelphia
LOCATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATION
Jeffrey Epstein
PERSONSTATE DEPARTMENT FACILITY
ORGANIZATIONJane Doe
PERSON
Birth
PERSONLeon Black
PERSONTHE U.S. PASSPORT CARD
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONFiledtoun
PERSONOVFRNIGHT
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATIONPassport Services
ORGANIZATIONPassoon Services
ORGANIZATION